Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.79 / $2,145.78 / $7,838.38	Facility		$227.79	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $177.30 / $392.92	Professional		$83.26	$177.30	$392.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $689.01 / $1,119.00 / $1,174.50	Professional	50	$689.01	$1,119.00	$1,174.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.26 / $307.70 / $515.48	Facility		$128.26	$307.70	$515.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $161.08 / $270.38	Professional		$92.18	$161.08	$270.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $198.69 / $324.41	Professional		$111.95	$198.69	$324.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.56 / $295.20	Professional		$32.34	$55.56	$295.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.75 / $184.60 / $257.79	Facility		$103.75	$184.60	$257.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $198.69 / $324.41	Professional		$111.95	$198.69	$324.41
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.10 / $273.91 / $421.06	Professional		$200.10	$273.91	$421.06